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Morton's Neuroma-Does size matter?

Discussion in 'General Issues and Discussion Forum' started by kates, Aug 2, 2018.

  1. kates

    kates Welcome New Poster


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    Hi,
    Is an 11 x 13 mm Morton's neuroma bursal complex considered large and how should this influence treatment choices?
    Would ethanol ablation be more or less successful than cortisone injection or is surgery indicated for a lesion of this size?
    Any advice would be appreciated.

    Thank You
     
  2. Dieter Fellner

    Dieter Fellner Well-Known Member

    Kate:

    Symptoms/ Pain matters more than size. Some MRI studies show enlarged nerves in an asymptomatic foot, other studies show near normal nerve size measurements in the setting of a very painful foot.

    Both ethanol and the cortisone shot share some success, none are cast iron proof (in my opinion) and neither is devoid of complications. Surgery will be indicated when non-operative treatments have failed.

    There is an excellent study out there, one of the orthopedic journals,to show a change in shoe and an orthosis can provide 87% cure rate when strictly adhered to. I read the study many years ago and to my frustration I cannot source it anymore.
     
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